Placer — Written Stipulation and Agreement

Source: https://www.placer.courts.ca.gov/sites/default/files/pl-fl015.pdf

SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER

ATTORNEY OR PARTY WITHOUT ATTORNEY FOR COURT USE ONLY (Name, State Bar Number, and Address):

TELEPHONE NO.: FAX NO.: EMA I L ADDRESS: SU PERIOR COURT OF CALIFORNIA, C OUNTY OF PLACER 10820 Justice Center Drive 2501 N. Lake Blvd. P.O. Box 619072 P.O. Box 5669 Roseville, CA 95661-9072 Tahoe City, CA 96145

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT: CASE NUMBER: WRITTEN STIPULATION AND AGREEMENT

Plaintiff / Petitioner present not present - represented by attorney

Defendant / Respondent present not present - represented by attorney

THE PARTIES HEREBY STIPULATE AND AGREE AS FOLLOWS:

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See attached.

Continued to: Department: at

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Attorney for Plaintiff / Petitioner Attorney for Defendant / Respondent

SIGNATURE OF PARTIES

We have read the entire stipulation and agreement. We understand it fully and request the Court to make our stipulation and agreement the Court’s order. We understand that willful failure to comply with the provisions of this order will be a contempt of court and may be punished by fine and imprisonment. We waive all further notice of this order.

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Plaintiff / Petitioner Defendant / Respondent

IT IS SO ORDERED this________________ day of_________________________, 20__________.

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Judge/Commissioner of the Superior Court

Form Adopted for Optional Use www.placer.courts.ca.gov Superior Court of California, County of Placer Page 1 of 1 Form No. PL-FL015 Effective 07-01-2015